An update on esophageal perforation. Correspondencia a:. Esophageal perforation is a complicated clinical entity that demands a high level of diagnostic and therapeutic skills. The management alternatives vary from conservative treatment to esophagectomy, including primary suture and esophageal exclusion. This paper is a review of the literature and personal experience with this condition, focusing on etiology, clinical presentation, diagnostic workout, treatment, complications and mortality. Key Words: Digestive system; Esophagoscopy; Esophageal perforation.
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Pneumomediastinum is the presence of extraluminal gas within the mediastinum. Gas may originate from the lungs , trachea , central bronchi, esophagus , and peritoneal cavity and track from the mediastinum to the neck or abdomen. In the setting of trauma, if pneumomediastinum is visible on chest x-ray it is termed overt pneumomediastinum whereas if it is only visible on CT then it is termed occult pneumomediastinum 8.
Although it is rare, pneumomediastinum can occur spontaneously. This is considered benign and generally affects young adult males 9, Small amounts of gas appear as linear or curvilinear lucencies outlining mediastinal contours such as:. Sonography is not a diagnostic modality of choice, but is often used in the initial workup of undifferentiated trauma patients, or in differentiating causes of dyspnea or chest pain.
Sonographic features which may appear in pneumomediastinum include 14 :. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Log in Sign up. Articles Cases Courses Quiz. About Blog Go ad-free. As of the latest update, Google Chrome and Microsoft Edge have made a breaking change to how file uploads are handled.
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Edit article Share article View revision history Report problem with Article. URL of Article. Article information. Systems: Chest , Trauma. Tag: pneumomediastinum. Synonyms or Alternate Spellings: Occult pneumomediastinum Overt pneumomediastinum. Support Radiopaedia and see fewer ads. Cases and figures. Case 1 Case 1. Case 2 Case 2. Case 3 Case 3. Case 4 Case 4. Case 5 Case 5. Case 6 Case 6. Case 7 Case 7. Case 8: spontaneous Case 8: spontaneous. Case 9: with widespread subcutaneous emphysema Case 9: with widespread subcutaneous emphysema.
Case 10 Case Case 11 Case Case 12 Case Case 13 Case Case 14 Case Case barotrauma Case barotrauma. Case spontaneous Case spontaneous.
Case 17 Case Case 18 Case Case 19 Case Case annotated Case annotated. Case 21 Case Case 22 Case Case 23 Case Case 24 Case Imaging differential diagnosis. Pneumothorax Pneumothorax. Pneumoperitoneum Pneumoperitoneum. Pneumopericardium Pneumopericardium. Subcutaneous emphysema Subcutaneous emphysema. Para-tracheal air cyst Para-tracheal air cyst.
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Hunter W. History of aneurysm of the aorta with some remarks on aneurysms in general. Medical Observations and Inquiries London. Wudel L Nesbitt J.
Pneumonia necrotizante. Miopatia ocular descendente. Directory of Open Access Journals Sweden. Esofagitis necrotizante aguda: Una entidad inusual. Factores de riesgo asociados a la mortalidad por enterocolitis necrotizante. Full Text Available 1. Necrotizing enterocolitis is a gastrointestinal urgency of multifactorial cause taht is closely connected with the preterm neonatus.